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Article type: Research Article
Authors: Uysal, Bilala; * | Özkuk, Kağanb | Şahin, Nilaya | Ökmen, Burcu M.c | Sezer, Refiad | Ateş, Zeynepd
Affiliations: [a] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Balikesir University, Balikesir, Turkey | [b] Department of Medical Ecology and Hydroclimatology, Faculty of Medicine, Usak University, Usak, Turkey | [c] Department of Physical Medicine and Rehabilitation, Saglik Bilimleri University Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey | [d] Department of Physical Medicine and Rehabilitation, İzzet Baysal Physical Medicine and Rehabilitation Training and Research Hospital, Bolu, Turkey
Correspondence: [*] Corresponding author: Bilal Uysal, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Balikesir University, Balikesir, Turkey. E-mail: bilaluysal@gmail.com.
Abstract: BACKGROUND: Adhesive capsulitis (AC) is a common musculoskeletal disease characterized with shoulder pain, limitation of range of motion (ROM) and disability. Although physical therapy is used in the treatment of AC, studies on its effectiveness are continuing. OBJECTIVE: This study aimed to assess the effectiveness of ultrasound (US) and high-intensity laser therapy (HILT) in the treatment of AC. METHODS: Sixty patients were randomized into two groups. Group I received US (15 sessions) and Group II received HILT (9 sessions) for 3 weeks. In addition, all patients received physical therapy program (hot pack, TENS and exercises). Assessments were made using VAS-pain, Shoulder Pain and Disability Index (SPADI), range of motion (ROM) at baseline and in post-treatment 3rd, 8th and 24th weeks. RESULTS: There was no statistically significant difference between the groups in terms of all pre-treatment values. In intragroup assessment, statistically significant difference was identified in all the values of Groups 1 and 2 in all assessment periods compared with the pre-treatment values (p< 0.05). There was no significant difference between groups in all assessment periods. CONCLUSION: According to results, US therapy and HILT were effective on the improvement of pain, ROM and functional conditions of patients in the treatment of AC.
Keywords: Adhesive capsulitis, frozen shoulder, ultrasound therapy, high-intensity laser therapy, physical therapy modalities
DOI: 10.3233/BMR-220026
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 1, pp. 227-236, 2023
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